Provider Demographics
NPI:1295246601
Name:RIOS, LORIANNE (DC)
Entity type:Individual
Prefix:
First Name:LORIANNE
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 FELTER LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-2506
Mailing Address - Country:US
Mailing Address - Phone:240-593-3516
Mailing Address - Fax:
Practice Address - Street 1:2708 FELTER LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-2506
Practice Address - Country:US
Practice Address - Phone:240-593-3516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33935111N00000X
MDS03947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor